Karabük Emine, Ganime Aygün Elif
Department of Obstetrics and Gynecology, Acıbadem University Faculty of Medicine, İstanbul, Turkey
J Turk Ger Gynecol Assoc. 2022 Jun 1;23(2):71-74. doi: 10.4274/jtgga.galenos.2022.2022-1-6. Epub 2022 Mar 21.
Bartholin cysts or abscesses are observed in approximately 2% of women, usually in their reproductive years. Although none of the treatments appear to be superior, there are several options including drainage with basic incision, Word catheter application, marsupialization, silver nitrate application, and excision. The primary outcome in this study was to evaluate the recurrence rates in patients who underwent marsupialization or Word catheter for the treatment of Bartholin cyst or abscesses, and the secondary outcome was to evaluate the rates of patient satisfaction.
A total of 196 patients who underwent either Word catheterization or marsupialization for the treatment of Bartholin cyst or abscesses between 2014 and 2017 were included in this retrospective cohort study. The size and location of the cyst/abscess, the operation duration, and the recurrence was recorded. A 5-point visual analog scale (VAS) was used to assess patient satisfaction and whether patients would recommend thier treatment to others.
Recurrence was observed in 11 (8.3%) patients in the marsupialization group, and 12 (18.8%) patients in the Word catheter group (p=0.034). Median (range) VAS scores in the marsupialization group were better than the Word catheter group [4 (1-5) vs 3 (1-5); p<0.001].
Higher recurrence rate and dissatisfaction level were found in the Word catheter group. The only advantage of using Word catheter was its short operation time. These results appear to show that marsupialization should be the first-line treatment for Bartholin cysts and abscesses. However, the small number of cases and the retrospective nature of this study mean that larger, prospective studies are required to support this hypothesis.
巴氏腺囊肿或脓肿在约2%的女性中可见，通常发生于生育年龄。尽管尚无一种治疗方法显示出明显优势，但仍有多种选择，包括单纯切开引流、放置沃氏导管、袋形缝合术、应用硝酸银以及切除。本研究的主要结果是评估接受袋形缝合术或放置沃氏导管治疗巴氏腺囊肿或脓肿患者的复发率，次要结果是评估患者满意度。
本回顾性队列研究纳入了2014年至2017年间接受沃氏导管置入或袋形缝合术治疗巴氏腺囊肿或脓肿的196例患者。记录囊肿/脓肿的大小和位置、手术时长及复发情况。采用5分视觉模拟量表（VAS）评估患者满意度以及患者是否会向他人推荐其治疗方法。
袋形缝合术组有11例（8.3%）患者复发，沃氏导管组有12例（18.8%）患者复发（p = 0.034）。袋形缝合术组的VAS评分中位数（范围）优于沃氏导管组[4（1 - 5）对3（1 - 5）；p < 0.001]。
沃氏导管组的复发率和不满意程度更高。使用沃氏导管的唯一优势是手术时间短。这些结果似乎表明，袋形缝合术应作为巴氏腺囊肿和脓肿的一线治疗方法。然而，本研究的病例数较少且具有回顾性，这意味着需要更大规模的前瞻性研究来支持这一假设。
